A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication?
A) Alprostadil
B) Heparin
C) Indomethacin
D) Spironolactone
C
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Indomethacin is the drug typically ordered to close a patent ductus arteriosus. Alprostadil would be indicated to maintain the ductus arteriosus temporarily in infants with ductal-dependent congenital heart defects. Heparin would be used for prophylaxis and treatment of thromboembolic disorders, especially after surgery. Spironolactone would be used to manage edema due to heart failure and to treat hypertension.
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The nurse in the surgery clinic is discussing an upcoming surgical procedure with a client. What information provided by the nurse is most appropriate for the client's long-term outcome?
a. "At least you know that the pain after surgery will diminish quickly." b. "Discuss acceptable pain control after your operation with the surgeon." c. "Opioids often cause nausea but you won't have to take them for long." d. "The nursing staff will give you pain medication when you ask them for it."
The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares. What is the nurse's most helpful response to explain nightmares?
a. They are a normal extension of the child's fear of mutilation. b. They are an abnormal response to repressed feelings. c. They are a common result of latent sexuality. d. They are a side effect of overactivity and stimulation.
The nurse teaches the immobilized client range of motion to improve muscle strength, endurance, and to help maintain cardiorespiratory function. Which activity is not appropriate for the nurse to include in the teaching session?
1. Active range of motion 2. Passive range of motion 3. Active-assistive range of motion 4. Active or active-assistive range of motion
A patient diagnosed with acute pancreatitis is being monitored in the intensive care unit. The patient's cardiac output is trending downward. Increasing intravenous fluids by protocol has not been effective. Which nursing interventions are indicated?
1. Place the patient in a prone position. 2. Offer the patient fluids by mouth. 3. Irrigate the patient's nasogastric (NG) tube. 4. Assess for development of systemic inflammatory response syndrome (SIRS).